HB 3010 Missouri House · 2026 Regular Session

Creates provisions relating to prior authorization of health care services

HB 3010 sets strict time limits for health insurance companies on prior authorization decisions for medical services. It requires insurers to make initial review decisions within 36 hours, provide phone notifications within 24 hours for both approvals and denials, and send written confirmation within 1-2 working days. The bill specifically extends approval validity to 12 months for chronic conditions (like cancer treatment) and prohibits billing patients for services with valid prior authorization, except for standard cost-sharing. These rules apply directly to health insurance companies, healthcare providers, and patients enrolled in health benefit plans.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Jan 20, 2026 Last action Apr 21, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Committee Substitute Perfected · 2 edits
MINOR
The bill text was updated from the 'House Committee Substitute' version to the 'Perfected' version, indicating it has passed all legislative stages and is ready for final approval. The changes are primarily technical and administrative, such as updating the bill identifier and removing explanatory notes about formatting.
TECHNICAL

The bill identifier was updated from '6673H.02C' (Committee Substitute) to '6673H.02P' (Perfected) to reflect its current legislative status.

Explanatory notes regarding bold-faced brackets and proposed language were removed, as these are no longer needed once the bill is perfected.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
28
Key actions
8
Committee
10
Mar 31, 2026
Committee
Second read and referred: Insurance and Banking(S)
upper
Mar 12, 2026
Lower · Passed
Third Read and Passed (H) - AYES: 143 NOES: 1 PRESENT: 0
lower
Mar 12, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 7 NOES: 0 PRESENT: 1
lower
Mar 12, 2026
Lower · Passed
Voted Do Pass (H)
lower
Mar 11, 2026
Committee
Referred: Fiscal Review(H)
lower
Mar 10, 2026
Lower · Passed
HCS Adopted (H)
lower
Mar 5, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 10 NOES: 0 PRESENT: 1
lower
Mar 4, 2026
Lower · Passed
Voted Do Pass (H)
lower
Mar 2, 2026
Committee
Referred: Rules - Administrative(H)
lower
Feb 26, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 10 NOES: 0 PRESENT: 0
lower
Feb 26, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Feb 17, 2026
Committee
Referred: Health and Mental Health(H)
lower
Jan 20, 2026
Introduced
Introduced and Read First Time (H)
lower
1 primary · 5 co-sponsors

Sponsors